Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.63 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceASK TRUST HUB NETWORK
You are on SeniorTrustHub — CMS / supported state senior-care research.
CITADEL OF BOURBONNAIS,THE has 107 certified beds in BOURBONNAIS, Illinois. The CMS overall rating is 3 of 5, compared with the Illinois average of 2.5. The CMS health inspection rating is 4 of 5, compared with the Illinois average of 2.7. The CMS staffing rating is 1 of 5. The latest standard health survey on Sep 27, 2024 lists 8 deficiencies, compared with the Illinois average of 7.3. Total nurse staffing is 3.46 hours per resident day in 2026Q1, compared with the Illinois average of 3.45.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 145536.
At a glance
3 of 5
4 of 5
1 of 5
2 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2020-11-01.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.63 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Sep 27, 2024 cited 8 deficiencies.
View inspection evidenceCMS-published records list 59 ownership or control parties.
CMS records show an ownership change effective November 2020.
View ownership evidenceCMS groups this facility with a chain covering 14 facilities across 2 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
30 currently connected nursing homes share this CMS organization identity with ISRAEL FAMILY INVESTMENT TRUST.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across IL.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across IL.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across IL.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 4, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across IL.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across IL.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IL.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across IL.
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 1, 2020
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2023
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2020
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2023
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2023
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 4, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Nov 1, 2020
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 36.5%
Association date reported to CMS: Apr 1, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 10.1%
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 7 across IL, MI.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 7.5%
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 29 across IL, IN, KS, MI, MO, OH, OK, TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 7.5%
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 28 across IL, IN, KS, MI, MO, OH, OK, TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 26.5%
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 14 across IL, MI, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across IL.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 7 across IL, MI.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 4, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 29 across IL, IN, KS, MI, MO, OH, OK, TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 28 across IL, IN, KS, MI, MO, OH, OK, TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 7 across IL, MI.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 14 across IL, MI, OH.
Individual · CORPORATE OFFICER
Published ownership percentage: 36.5%
Association date reported to CMS: Nov 1, 2020
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.9%
Association date reported to CMS: Apr 1, 2023
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Nov 1, 2020
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Apr 1, 2023
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Apr 1, 2023
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Apr 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 4, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Nov 1, 2020
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Nov 1, 2020
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Nov 1, 2020
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across IL.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 147 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 14 | 3.2 | 1.8 |
| Mon Jun | 13 | 3.6 | 1.9 |
| Fri May | 13 | 3.5 | 1.9 |
| Wed Apr | 13 | 3.3 | 1.9 |
| Sun Mar | 13 | 3.2 | 2 |
| Sun Feb | 13 | 3.1 | 2 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 20, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 4, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 4, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 4, 2024)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 4, 2024)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 7, 2024)
Post nurse staffing information every day.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Oct 4, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 7, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 4, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 15, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Allow residents to self-administer drugs if determined clinically appropriate.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 9, 2023)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 9, 2023)
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 9, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 6, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 6, 2023)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 6, 2023)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 6, 2023)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 6, 2023)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 6, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 6, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 6, 2023)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
RN staffing decreased from 0.79 to 0.63 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
0.79 → 0.63
CMS · Reported in a source release · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: CITADEL OF BOURBONNAIS LLC.
PRESENCE LIFE CONNECTIONS → CITADEL OF BOURBONNAIS LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.638 | 3.019 |
| RN categories | 0.686 | 0.485 |
Contract staff accounted for 12.7% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.160 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.409 | 0.721 | 0.738 | 1.95 | 15.1% | 91 |
| 2025Q3 | 3.344 | 0.76 | 0.638 | 1.946 | 4.6% | 92 |
| 2025Q4 | 3.416 | 0.787 | 0.679 | 1.949 | 10.7% | 92 |
| 2026Q1 | 3.459 | 0.627 | 0.934 | 1.897 | 12.7% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.